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Individual

SHAHEDRA WARD-KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
582 SE 7TH AVE STE B, CRYSTAL RIVER, FL 34429-4840
(352) 228-8829
Mailing address
3350 SE US HIGHWAY 41 UNIT 473, MORRISTON, FL 32668-3352
(845) 633-3466

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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